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Dose and Drug Matter – Anticholinergic Effects
An elderly patient was on Zyrtec (cetirizine) 10 mg at betime for allergies and was also on Ditropan (oxybutynin) 15 mg three times daily for urinary incontinence. Ditropan is one of those classic...
Diagnosis: Polypharmacy – Case study
I can't help but smile when providers dictate that a patient has a diagnosis of polypharmacy. Let's cure that condition! These case studies are kind of challenging because you could go a few...
Pharmacist Provider Status – Where are we Headed?
I played a ton of baseball growing up and I want to use a baseball analogy to help describe where I feel we are at in this process. Tie ballgame, there's two outs in the 9th, runner on third. You've...
Thank You
I'm extremely humbled and excited that I have to write this post tonight - From the early days on Facebook, to all the retweets on Twitter and followers from LinkedIn, the amount of support, kind...
What Does too Much Synthroid Look Like?
Thyroid case tonight... I had a resident one time that was experiencing anxiety, tachycardia (increased pulse), weight loss, and was a nightmare as far as trying to manage behavioral issues. I had...
Prednisone and Diabetes Management
In the case where an individual must be on a prednisone burst (or any other corticosteroid) diabetes management can often become very difficult. I had a 78 year old patient with diabetes who was...
What can a Clinical Pharmacist Bring to the Table?
I feel like I’m always trying to educate folks what a clinical pharmacist can provide to patients, nurses, physicians, a healthcare team, institution etc. Since I was accepted into pharmacy school,...
NSAIDs and GI Bleeding
A patient was having difficulty with symptoms of gout. They were on Allopurinol 300 mg daily for their hyperuricemia (elevated uric acid happens in gout). This particular patient would have flares...
Luvox and Zyprexa Interaction
I had a resident in a nursing home who had an extensive psych history including episodes of physical aggression and schizophrenia. They also would be extremely obsessive over various different...
Clinical Case Review
There's nothing better than a case study: This is a very simple case, and I just wanted to highlight a few things that come to my attention as I'm reviewing this list. We will see how this goes,...
Study Materials For Pharmacists
